Insurance Verification Specialist (10574)

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    "description": "<p><span style=\"font-family:Calibri,sans-serif\"><strong>SUMMARY:</strong></span></p>\n\n<p><span style=\"font-family:Calibri,sans-serif\">The <strong>Insurance Verification Specialist</strong> is responsible for reviewing and processing incoming referrals from external providers to ensure timely access to care, primarily for new patients as well as occasionally for existing patients. This role is critical in initiating the patient care journey, working closely with referring offices, clinical teams, and patients to verify information, obtain past medical records and imaging, and schedule new patient appointments.</span></p>\n\n<p><span style=\"font-family:Calibri,sans-serif\"><strong>KEY RESPONSIBILITIES:</strong></span></p>\n\n<p><span style=\"font-family:Calibri,sans-serif\"><strong>REFERRAL INTAKE &amp; DOCUMENTATION</strong></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Calibri,sans-serif\">Receive and process inbound referrals from external providers via eFax, EMR, phone, email, or third-party platforms.</span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\">Review referral documents for completeness and accuracy, including diagnosis, insurance, and provider information.</span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\">Input referral data into the EMR (e.g., eClinicalWorks), create patient&rsquo;s chart, and promptly reach out to schedule.</span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\">Monitor open referrals, making repeated contact attempts to patient over several days via call and text until scheduled.</span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\">Track reasons referrals are not scheduled within the EMR and provide updates back to referring provider partners.</span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\">Field incoming calls from referral sources, referred new patients, and self-referrals to coordinate scheduling process.</span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\">Screen self-referrals (patients who found us online or through word-of-mouth) to understand their condition and past treatment history based on our patient criteria and defined screening scripts prior to scheduling.</span></li>\n</ul>\n\n<p><span style=\"font-family:Calibri,sans-serif\"><strong>PATIENT SUPPORT</strong></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Calibri,sans-serif\">Contact patients to inform them of appointment details, pre-visit instructions, and next steps.</span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\">Provide guidance on navigating referred services (e.g., imaging centers, specialists).</span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\">Address patient questions and coordinate logistics to minimize delays.</span></li>\n</ul>\n\n<p><span style=\"font-family:Calibri,sans-serif\"><strong>COMMUNICATION &amp; COLLABORATION</strong></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Calibri,sans-serif\">Liaise with external offices and provider groups to ensure seamless referral handoffs.</span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\">Partner with clinical teams to confirm the accuracy of referral orders and urgency.</span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\">Escalate any issues or delays to appropriate clinical or administrative staff.</span></li>\n</ul>\n",
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